INPATIENT APRDRG 8171: OVERDOSE
|
Facility
|
IP
|
$2,294.78
|
|
Service Code
|
APR-DRG 8171
|
Hospital Charge Code |
APRDRG 8171
|
Min. Negotiated Rate |
$2,185.50 |
Max. Negotiated Rate |
$2,294.78 |
Rate for Payer: BCBS Complete |
$2,294.78
|
Rate for Payer: Mclaren Medicaid |
$2,185.50
|
Rate for Payer: Meridian Medicaid |
$2,294.78
|
Rate for Payer: Priority Health Choice Medicaid |
$2,185.50
|
|
INPATIENT APRDRG 8172: OVERDOSE
|
Facility
|
IP
|
$3,016.32
|
|
Service Code
|
APR-DRG 8172
|
Hospital Charge Code |
APRDRG 8172
|
Min. Negotiated Rate |
$2,872.69 |
Max. Negotiated Rate |
$3,016.32 |
Rate for Payer: BCBS Complete |
$3,016.32
|
Rate for Payer: Mclaren Medicaid |
$2,872.69
|
Rate for Payer: Meridian Medicaid |
$3,016.32
|
Rate for Payer: Priority Health Choice Medicaid |
$2,872.69
|
|
INPATIENT APRDRG 8173: OVERDOSE
|
Facility
|
IP
|
$5,240.62
|
|
Service Code
|
APR-DRG 8173
|
Hospital Charge Code |
APRDRG 8173
|
Min. Negotiated Rate |
$4,991.07 |
Max. Negotiated Rate |
$5,240.62 |
Rate for Payer: BCBS Complete |
$5,240.62
|
Rate for Payer: Mclaren Medicaid |
$4,991.07
|
Rate for Payer: Meridian Medicaid |
$5,240.62
|
Rate for Payer: Priority Health Choice Medicaid |
$4,991.07
|
|
INPATIENT APRDRG 8174: OVERDOSE
|
Facility
|
IP
|
$10,813.03
|
|
Service Code
|
APR-DRG 8174
|
Hospital Charge Code |
APRDRG 8174
|
Min. Negotiated Rate |
$10,298.12 |
Max. Negotiated Rate |
$10,813.03 |
Rate for Payer: BCBS Complete |
$10,813.03
|
Rate for Payer: Mclaren Medicaid |
$10,298.12
|
Rate for Payer: Meridian Medicaid |
$10,813.03
|
Rate for Payer: Priority Health Choice Medicaid |
$10,298.12
|
|
INPATIENT APRDRG 8411: EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT
|
Facility
|
IP
|
$30,813.81
|
|
Service Code
|
APR-DRG 8411
|
Hospital Charge Code |
APRDRG 8411
|
Min. Negotiated Rate |
$29,346.49 |
Max. Negotiated Rate |
$30,813.81 |
Rate for Payer: BCBS Complete |
$30,813.81
|
Rate for Payer: Mclaren Medicaid |
$29,346.49
|
Rate for Payer: Meridian Medicaid |
$30,813.81
|
Rate for Payer: Priority Health Choice Medicaid |
$29,346.49
|
|
INPATIENT APRDRG 8412: EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT
|
Facility
|
IP
|
$30,811.65
|
|
Service Code
|
APR-DRG 8412
|
Hospital Charge Code |
APRDRG 8412
|
Min. Negotiated Rate |
$29,344.43 |
Max. Negotiated Rate |
$30,811.65 |
Rate for Payer: BCBS Complete |
$30,811.65
|
Rate for Payer: Mclaren Medicaid |
$29,344.43
|
Rate for Payer: Meridian Medicaid |
$30,811.65
|
Rate for Payer: Priority Health Choice Medicaid |
$29,344.43
|
|
INPATIENT APRDRG 8413: EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT
|
Facility
|
IP
|
$43,919.44
|
|
Service Code
|
APR-DRG 8413
|
Hospital Charge Code |
APRDRG 8413
|
Min. Negotiated Rate |
$41,828.04 |
Max. Negotiated Rate |
$43,919.44 |
Rate for Payer: BCBS Complete |
$43,919.44
|
Rate for Payer: Mclaren Medicaid |
$41,828.04
|
Rate for Payer: Meridian Medicaid |
$43,919.44
|
Rate for Payer: Priority Health Choice Medicaid |
$41,828.04
|
|
INPATIENT APRDRG 8414: EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT
|
Facility
|
IP
|
$142,034.68
|
|
Service Code
|
APR-DRG 8414
|
Hospital Charge Code |
APRDRG 8414
|
Min. Negotiated Rate |
$135,271.12 |
Max. Negotiated Rate |
$142,034.68 |
Rate for Payer: BCBS Complete |
$142,034.68
|
Rate for Payer: Mclaren Medicaid |
$135,271.12
|
Rate for Payer: Meridian Medicaid |
$142,034.68
|
Rate for Payer: Priority Health Choice Medicaid |
$135,271.12
|
|
INPATIENT APRDRG 8421: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS
|
Facility
|
IP
|
$9,243.07
|
|
Service Code
|
APR-DRG 8421
|
Hospital Charge Code |
APRDRG 8421
|
Min. Negotiated Rate |
$8,802.92 |
Max. Negotiated Rate |
$9,243.07 |
Rate for Payer: BCBS Complete |
$9,243.07
|
Rate for Payer: Mclaren Medicaid |
$8,802.92
|
Rate for Payer: Meridian Medicaid |
$9,243.07
|
Rate for Payer: Priority Health Choice Medicaid |
$8,802.92
|
|
INPATIENT APRDRG 8422: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS
|
Facility
|
IP
|
$17,341.72
|
|
Service Code
|
APR-DRG 8422
|
Hospital Charge Code |
APRDRG 8422
|
Min. Negotiated Rate |
$16,515.92 |
Max. Negotiated Rate |
$17,341.72 |
Rate for Payer: BCBS Complete |
$17,341.72
|
Rate for Payer: Mclaren Medicaid |
$16,515.92
|
Rate for Payer: Meridian Medicaid |
$17,341.72
|
Rate for Payer: Priority Health Choice Medicaid |
$16,515.92
|
|
INPATIENT APRDRG 8423: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS
|
Facility
|
IP
|
$22,546.02
|
|
Service Code
|
APR-DRG 8423
|
Hospital Charge Code |
APRDRG 8423
|
Min. Negotiated Rate |
$21,472.40 |
Max. Negotiated Rate |
$22,546.02 |
Rate for Payer: BCBS Complete |
$22,546.02
|
Rate for Payer: Mclaren Medicaid |
$21,472.40
|
Rate for Payer: Meridian Medicaid |
$22,546.02
|
Rate for Payer: Priority Health Choice Medicaid |
$21,472.40
|
|
INPATIENT APRDRG 8424: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS
|
Facility
|
IP
|
$91,357.22
|
|
Service Code
|
APR-DRG 8424
|
Hospital Charge Code |
APRDRG 8424
|
Min. Negotiated Rate |
$87,006.88 |
Max. Negotiated Rate |
$91,357.22 |
Rate for Payer: BCBS Complete |
$91,357.22
|
Rate for Payer: Mclaren Medicaid |
$87,006.88
|
Rate for Payer: Meridian Medicaid |
$91,357.22
|
Rate for Payer: Priority Health Choice Medicaid |
$87,006.88
|
|
INPATIENT APRDRG 8431: EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT
|
Facility
|
IP
|
$2,887.85
|
|
Service Code
|
APR-DRG 8431
|
Hospital Charge Code |
APRDRG 8431
|
Min. Negotiated Rate |
$2,750.33 |
Max. Negotiated Rate |
$2,887.85 |
Rate for Payer: BCBS Complete |
$2,887.85
|
Rate for Payer: Mclaren Medicaid |
$2,750.33
|
Rate for Payer: Meridian Medicaid |
$2,887.85
|
Rate for Payer: Priority Health Choice Medicaid |
$2,750.33
|
|
INPATIENT APRDRG 8432: EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT
|
Facility
|
IP
|
$5,059.02
|
|
Service Code
|
APR-DRG 8432
|
Hospital Charge Code |
APRDRG 8432
|
Min. Negotiated Rate |
$4,818.11 |
Max. Negotiated Rate |
$5,059.02 |
Rate for Payer: BCBS Complete |
$5,059.02
|
Rate for Payer: Mclaren Medicaid |
$4,818.11
|
Rate for Payer: Meridian Medicaid |
$5,059.02
|
Rate for Payer: Priority Health Choice Medicaid |
$4,818.11
|
|
INPATIENT APRDRG 8433: EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT
|
Facility
|
IP
|
$12,506.05
|
|
Service Code
|
APR-DRG 8433
|
Hospital Charge Code |
APRDRG 8433
|
Min. Negotiated Rate |
$11,910.52 |
Max. Negotiated Rate |
$12,506.05 |
Rate for Payer: BCBS Complete |
$12,506.05
|
Rate for Payer: Mclaren Medicaid |
$11,910.52
|
Rate for Payer: Meridian Medicaid |
$12,506.05
|
Rate for Payer: Priority Health Choice Medicaid |
$11,910.52
|
|
INPATIENT APRDRG 8434: EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT
|
Facility
|
IP
|
$24,564.32
|
|
Service Code
|
APR-DRG 8434
|
Hospital Charge Code |
APRDRG 8434
|
Min. Negotiated Rate |
$23,394.59 |
Max. Negotiated Rate |
$24,564.32 |
Rate for Payer: BCBS Complete |
$24,564.32
|
Rate for Payer: Mclaren Medicaid |
$23,394.59
|
Rate for Payer: Meridian Medicaid |
$24,564.32
|
Rate for Payer: Priority Health Choice Medicaid |
$23,394.59
|
|
INPATIENT APRDRG 8441: PARTIAL THICKNESS BURNS W/O SKIN GRAFT
|
Facility
|
IP
|
$3,051.56
|
|
Service Code
|
APR-DRG 8441
|
Hospital Charge Code |
APRDRG 8441
|
Min. Negotiated Rate |
$2,906.25 |
Max. Negotiated Rate |
$3,051.56 |
Rate for Payer: BCBS Complete |
$3,051.56
|
Rate for Payer: Mclaren Medicaid |
$2,906.25
|
Rate for Payer: Meridian Medicaid |
$3,051.56
|
Rate for Payer: Priority Health Choice Medicaid |
$2,906.25
|
|
INPATIENT APRDRG 8442: PARTIAL THICKNESS BURNS W/O SKIN GRAFT
|
Facility
|
IP
|
$5,086.66
|
|
Service Code
|
APR-DRG 8442
|
Hospital Charge Code |
APRDRG 8442
|
Min. Negotiated Rate |
$4,844.44 |
Max. Negotiated Rate |
$5,086.66 |
Rate for Payer: BCBS Complete |
$5,086.66
|
Rate for Payer: Mclaren Medicaid |
$4,844.44
|
Rate for Payer: Meridian Medicaid |
$5,086.66
|
Rate for Payer: Priority Health Choice Medicaid |
$4,844.44
|
|
INPATIENT APRDRG 8443: PARTIAL THICKNESS BURNS W/O SKIN GRAFT
|
Facility
|
IP
|
$6,360.09
|
|
Service Code
|
APR-DRG 8443
|
Hospital Charge Code |
APRDRG 8443
|
Min. Negotiated Rate |
$6,057.23 |
Max. Negotiated Rate |
$6,360.09 |
Rate for Payer: BCBS Complete |
$6,360.09
|
Rate for Payer: Mclaren Medicaid |
$6,057.23
|
Rate for Payer: Meridian Medicaid |
$6,360.09
|
Rate for Payer: Priority Health Choice Medicaid |
$6,057.23
|
|
INPATIENT APRDRG 8444: PARTIAL THICKNESS BURNS W/O SKIN GRAFT
|
Facility
|
IP
|
$12,656.22
|
|
Service Code
|
APR-DRG 8444
|
Hospital Charge Code |
APRDRG 8444
|
Min. Negotiated Rate |
$12,053.54 |
Max. Negotiated Rate |
$12,656.22 |
Rate for Payer: BCBS Complete |
$12,656.22
|
Rate for Payer: Mclaren Medicaid |
$12,053.54
|
Rate for Payer: Meridian Medicaid |
$12,656.22
|
Rate for Payer: Priority Health Choice Medicaid |
$12,053.54
|
|
INPATIENT APRDRG 8501: PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE
|
Facility
|
IP
|
$10,027.50
|
|
Service Code
|
APR-DRG 8501
|
Hospital Charge Code |
APRDRG 8501
|
Min. Negotiated Rate |
$9,550.00 |
Max. Negotiated Rate |
$10,027.50 |
Rate for Payer: BCBS Complete |
$10,027.50
|
Rate for Payer: Mclaren Medicaid |
$9,550.00
|
Rate for Payer: Meridian Medicaid |
$10,027.50
|
Rate for Payer: Priority Health Choice Medicaid |
$9,550.00
|
|
INPATIENT APRDRG 8502: PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE
|
Facility
|
IP
|
$16,421.75
|
|
Service Code
|
APR-DRG 8502
|
Hospital Charge Code |
APRDRG 8502
|
Min. Negotiated Rate |
$15,639.76 |
Max. Negotiated Rate |
$16,421.75 |
Rate for Payer: BCBS Complete |
$16,421.75
|
Rate for Payer: Mclaren Medicaid |
$15,639.76
|
Rate for Payer: Meridian Medicaid |
$16,421.75
|
Rate for Payer: Priority Health Choice Medicaid |
$15,639.76
|
|
INPATIENT APRDRG 8503: PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE
|
Facility
|
IP
|
$24,848.92
|
|
Service Code
|
APR-DRG 8503
|
Hospital Charge Code |
APRDRG 8503
|
Min. Negotiated Rate |
$23,665.64 |
Max. Negotiated Rate |
$24,848.92 |
Rate for Payer: BCBS Complete |
$24,848.92
|
Rate for Payer: Mclaren Medicaid |
$23,665.64
|
Rate for Payer: Meridian Medicaid |
$24,848.92
|
Rate for Payer: Priority Health Choice Medicaid |
$23,665.64
|
|
INPATIENT APRDRG 8504: PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE
|
Facility
|
IP
|
$58,802.13
|
|
Service Code
|
APR-DRG 8504
|
Hospital Charge Code |
APRDRG 8504
|
Min. Negotiated Rate |
$56,002.03 |
Max. Negotiated Rate |
$58,802.13 |
Rate for Payer: BCBS Complete |
$58,802.13
|
Rate for Payer: Mclaren Medicaid |
$56,002.03
|
Rate for Payer: Meridian Medicaid |
$58,802.13
|
Rate for Payer: Priority Health Choice Medicaid |
$56,002.03
|
|
INPATIENT APRDRG 8601: REHABILITATION
|
Facility
|
IP
|
$9,272.34
|
|
Service Code
|
APR-DRG 8601
|
Hospital Charge Code |
APRDRG 8601
|
Min. Negotiated Rate |
$8,830.80 |
Max. Negotiated Rate |
$9,272.34 |
Rate for Payer: BCBS Complete |
$9,272.34
|
Rate for Payer: Mclaren Medicaid |
$8,830.80
|
Rate for Payer: Meridian Medicaid |
$9,272.34
|
Rate for Payer: Priority Health Choice Medicaid |
$8,830.80
|
|